Author/Editor		Škorjanc, Tatjana
Title		Bolečina v rami kot pozna komplikacija pri osebah z okvaro hrbtenjače
Type		članek
Source		In: Komadina R, editor. Zbornik izbranih predavanj simpozija o poškodbah mehkih tkiv ramenskega sklepa. 3. celjski dnevi; 2001 apr; Celje. Celje: Splošne in učne bolnišnice Celje, Služba za raziskovalno delo in izobraževanje,
Publication year		2001
Volume		str. 268-74
Language		slo
Abstract		Background. Some years after the injury paraplegics begin to suffer from pains in the area of shoulder joints, pains most often resulting from the degenerative changes in the rotator cuff. The goal of the investigation is to show how often such changes appear and whaf they mean to a person whose locomotor abilities are already seriously impaired. Methods. Between 1997 and 7999 65 paraplegics who had sustained a spinal cord injury at least five years before were treated for acute or chronic shoulder pains. No paraplegics actively engaged in sports were included in the group. All of the patients were aged more than 50 years. In all of them the diagnosis was established by means of an ultrasound examination of the painful shoulder joint, preceded in each of them by the xray diagnostics of the shoulder joint. All were subject to out-patient treatment. Results. In 85% of the cases as treated the ultrasound diagnostics revealed degenerative changes of the rotafor cuff, in 12% signs of tendninitis of the m, supraspinatus, and in 3% only a partial rupture of the rotator cuff. No complete rupture of the rotator cuff was diagnosed. Most of the patients were treated by physical methods. Pain-relieving infiltrations were applied in the acute cases only. Combined treatrment was decided upon where physical therapy produced poor pain-relieving results. Conclusions. Degenerative changes of the rotator cuff most often result from a changed way of life involving permanent dependence of the patient on the use of the wheelchair, whereat his shoulder joints are overworked. As shoulder pains add further impairment to the paraplegic state, it is imperative to take proper preventive measures an important aspect of which is the choice of suitable orthopaedic aids.
Descriptors		SHOULDER PAIN PARAPLEGIA